For orthopedic practices · Early access 2026

Prior auth appeals.
Automated.

AI-assisted appeal letters for practice managers and billing teams who deal with payer denials every day.

See it in action → Request early access
Letter generation
< 3 sec
Built for
Orthopedics
Status
Early access
Infrastructure
HIPAA-eligible
Why now
CMS finalized its Prior Authorization Reform Rule in 2025. Payers must now disclose denial rates publicly for the first time. Medicare Advantage PA denials for orthopedic procedures rose to 7.4% in 2025 — up from 5.9% in 2023. The pressure on practices is accelerating.

The problem

Denied claims are revenue your team already earned.

$700K+
In delayed or written-off revenue per year
For a typical multi-surgeon orthopedic group operating at a 14% denial rate.
AHA 2024 · Medical Billers & Coders 2026
7.4%
Medicare Advantage PA denial rate for orthopedics
Up 25% in two years. TKA, spinal fusion, arthroscopy face the most scrutiny.
AHA 2024 Annual Survey
19.5 min
Average admin time per PA request
Across 1,065 orthopedic PA requests in a peer-reviewed multicenter study.
Jarrett et al., JSES 2024

How it works

Three steps. No training required.

01
Denial comes in
Enter the denial reason, CPT code, diagnosis, and payer. Takes less than a minute.
02
Letter generates
AI writes a complete, clinically grounded appeal letter in under 3 seconds — formatted and ready to send.
03
Edit, download, send
Review the letter, make any edits, download as PDF, and attach to your fax or email. Done.

Built for

Practice managers
Stop writing the same letter twice.
Every denied TKA, rotator cuff repair, or arthroscopy follows the same pattern. Sanctr generates the appeal so your team doesn't have to.
Billing & revenue cycle
Fewer denials sitting on your desk.
Track denied authorizations, generate appeals in seconds, and keep your revenue cycle moving without chasing physicians for documentation.

See it in action

A real appeal letter. In under 3 seconds.

Built on a real Epic SMART-on-FHIR integration and running on HIPAA-eligible cloud infrastructure. Try the interactive demo — sample data, no login — and watch a denied knee replacement become a formatted, ready-to-send appeal in seconds.

Try the live demo →
Prior Auth Request · CPT 27447
PatientCamila M. · DOB 1987
ProcedureTotal Knee Arthroplasty
PayerUnitedHealthcare
DecisionDenied — not medically necessary
< 3
seconds to
appeal letter
557 words
generated ✓

Early access

Request a demo.

We're piloting with 5 orthopedic practices — free, no commitment. If your team deals with prior auth denials, we'd love 20 minutes.

3 of 5 pilot spots remaining · Applications close September 30, 2026

No spam. No sales calls without permission. Just a 20-minute conversation.

You're on the list.

We'll be in touch within 24 hours to schedule your demo.